This groundbreaking book gives clinicians a new set of tools for helping people overcome binge-eating disorder and bulimia. It presents an adaptation of dialectical behavior therapy (DBT) developed expressly for this population. The treatment is unique in approaching disordered eating as a problem of emotional dysregulation. Featuring vivid case examples and 32 reproducible handouts and forms, the book shows how to put an end to binge eating and purging by teaching clients more adaptive ways to manage painful emotions. Step-by-step guidelines are provided for implementing DBT skills training in mindfulness, emotion regulation, and distress tolerance, including a specially tailored skill, mindful eating. Purchasers get access to a Web page where they can download and print the reproducible handouts and forms in a convenient 8 1/2" x 11" size. See also the related self-help guide, The DBT Solution for Emotional Eating, by Debra L. Safer, Sarah Adler, and Philip C. Masson, ideal for client recommendation.

Eating disorders are but one of many specific pathological responses to the pressures of the modern world. In group therapy, patients battling bulimia nervosa can learn from one another how to heal the emotional wounds that have put their health in jeopardy. Group therapy addresses the four etiologies of eating disorders by teaching the sociocultural context, discussing both the psychological and familial constellation of each member, and providing a forum to address the physiological aspects of the disorder by discussing the benefits of or disappointments in medications.

The only eating-disorder treatment manual for group application available, this book presents an integrative treatment model bringing together psychoeducational, cognitive behavioral, relational, experiential, and interpersonal methods. The introduction begins with a detailed discussion of bulimia's cultural roots as well as its epidemiology and etiology, moves to a survey of available treatments, and concludes with a rationale for use of the integrative group method.

Following chapters provide instructions for leading a time-limited therapy group for bulimic patients, including a discussion of screening procedures for prospective members and a guide for processing group dynamics. These precede the core of the book: step-by-step descriptions of the twelve structured therapy sessions. Interspersed throughout are group reading assignments and reflective essays.

'As well as charting her adolescent battle with anorexia, it offers a darkly compelling, highly topical account of journeying from girlhood to womanhood in the spotlight of global celebrity.' The Mail on Sunday 'A raw and powerful memoir, it shares lessons banishing self-hatred.' The Sunday Telegraph 'Gradually, I began to feel this dawning awareness that womanhood was coming for me, that it was looming inevitably, and it didn't feel safe...' Evanna Lynch has long been viewed as a role model for people recovering from anorexia and the story of her casting as Luna Lovegood in the Harry Potter films has reached almost mythic proportions. Here, in her fascinating new memoir, Evanna confronts all the complexities and contradictions within herself and reveals how she overcame a life-threatening eating disorder, began to conquer her self-hate and confronted her fear of leaving the neatness and safety of girlhood for the unpredictable journey of being a woman, all in the glare of the spotlight of international fame. Delving into the very heart of a woman's relationship with her own body, Evanna explores the pivotal moments and choices in her life that led her down the path of creativity and dreaming and away from the empty pursuit of perfection, and reaches towards acceptance of the wild, sensual and unpredictable reality of womanhood. This is a story of the tragedy and the glory of growing up, of mourning girlhood and stepping into the unknown, and how that act of courage is the most magical and creatively liberating thing a woman can do.